Is Thrombus with Subcutaneous Edema Detected by Ultrasonography Related to Short Peripheral Catheter Failure? A Prospective Observational Study

Toshiaki Takahashi, Ryoko Murayama, Makoto Oe, Gojiro Nakagami, Hidenori Tanabe, Koichi Yabunaka, Rika Arai, Chieko Komiyama, Miho Uchida, Hiromi Sanada

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Short peripheral catheter (SPC) failure is an important clinical problem. The purpose of this study was to clarify the relationship between SPC failure and etiologies such as thrombus, subcutaneous edema, and catheter dislodgment using ultrasonography and to explore the risk factors associated with the etiologies. Two hundred catheters that were in use for infusion, excluding chemotherapy, were observed. Risk factors were examined by logistic regression analysis. Sixty catheters were removed as the result of SPC failure. Frequency of thrombus with subcutaneous edema in SPC failure cases was significantly greater than in those cases where therapy was completed without complications (P <.01). Multivariate analysis demonstrated that 2 or more insertion attempts were significantly associated with thrombus with subcutaneous edema. Results suggest that subsurface skin assessment for catheterization could prevent SPC failure.

Original languageEnglish
Pages (from-to)313-322
Number of pages10
JournalJournal of Infusion Nursing
Volume40
Issue number5
DOIs
Publication statusPublished - 2017

All Science Journal Classification (ASJC) codes

  • Nursing(all)

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